However, different barriers exist even in these jurisdictions. Buprenorphine/Naloxone prescribing scenarios). NARCAN ® Nasal Spray is available for free from pharmacies everywhere in Ontario and Québec, and for Non-Insured Health Benefits (NIHB) Program clients across Canada. Face-to-face visit within 14 calendar days of Pharmacists are reminded that the Standards of Practice for Schedule 2 products are applicable to the sale of naloxone for the above Yes, but you have to consider provisions under the Regulated Health Professions Act, 1991 (RHPA) and your practice environment to determine if you can. This needleless device delivers a fixed intranasal dose of naloxone, available in 2 mg/0.1mL and 4mg/0.1mL strengths.13,15 The typical shelf life of naloxone products is 18 months to 24 months.16 To address the increasing harms due to opioid poisoning, several policy and program Naloxone nasal spray is a specific format of naloxone which enables it to be sprayed directly into the nose through the nostril. As with other naloxone products, it is used to reverse the effects of opioid overdoses. Code Description of Service Estimated Reimbursement 99495 Medical decision making of at least moderate complexity during the service period. during the time period covered by the TCM services codes. naloxone, NARCAN Nasal Spray, for marketing in Canada. Naloxone is a non-addictive opioid antagonist that temporarily reverses the effects of opiates including, respiratory depression, sedation and hypotension. Alberta, Ontario, Quebec, Nova Scotia, Northwest Territories and Yukon are currently the only jurisdictions that offer free, unrestricted access to naloxone through first line responders, health centres, and pharmacies. Since the June 24, 2016, launch of the Ontario Naloxone Program for Pharmacies, OPA has received numerous inquiries about naloxone and the dispensing of naloxone kits. jurisdictions to increase patient access to naloxone. This change should take effect as of May 13, 2016. Through the nasal route of administration, naloxone’s effects occur in 2 to 3 minutes. • The billing provider cannot report and bill some other codes (i.e. Being a narcotic, Buprenorphine/Naloxone is one of the drugs that is exempted by the Executive Officer from the two-dispensing-fees-per-28-days rule set out in subsection 18(10) of Ontario Regulation 201/96 under the Ontario Drug Benefit Act. 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